Schlosser V, Spillner G
MMW Munch Med Wochenschr. 1978 Dec 8;120(50):1685-8.
Renal artery embolism, which in our patients accounts for 0.4% of all arterial emboli and 6.5% of all operations on the renal arteries, demands rapid diagnosis and immediate operative revascularization. Three of our own cases of complete renal artery embolism which were successfully operated on and 5 with total chronic embolism of the renal arteries, also successfully operated, verify this indication. The importance of the collateral circulation in complete embolism of the renal artery for the maintenance of the organ is pointed out. This collateral circulation can prolong the revival time of the organ so that surgical restoration of the flow can be successful even after a long time. Intraoperative renal biopsy permits the prognosis to be assessed.
肾动脉栓塞在我们的患者中占所有动脉栓塞的0.4%以及所有肾动脉手术的6.5%，需要快速诊断并立即进行手术血管重建。我们自己有3例完全性肾动脉栓塞病例成功接受了手术，还有5例肾动脉完全慢性栓塞病例也成功进行了手术，证实了这一适应证。文中指出了肾动脉完全栓塞时侧支循环对维持器官功能的重要性。这种侧支循环可延长器官的复苏时间，从而即使在很长时间后手术恢复血流也能成功。术中肾活检有助于评估预后。
